CareMore Health System
Clinical Case Manager, RN - N page is loaded## Clinical Case Manager, RN - Nlocations:
Arizona, USAtime type:
Full timeposted on:
Posted Yesterdayjob requisition id:
M101888**Job Description Summary**Responsible for managing quality, cost effective care using selective benefits and alternative services best suited for the member.**How will you make an impact & Requirements****\*\*This is a remote position and requires the position holder to reside in Arizona\*\*****Primary duties may include, but are not limited to:*** Collaborates in a patient care process to assess, plan, facilitate, coordinate, monitor, and evaluate options and services to meet member's health needs.* Supports member or their representative in regard to care, care transitions, and changes in health status. Implements a comprehensive clinical case management plan for each patient.* Obtains input from providers, patient, and family as appropriate, and evaluates and revises the plan as needed.* Analyzes patient variances from the plan and initiates the appropriate steps to resolve variances.* Performs admission and concurrent stay reviews on hospitalized patients.* Develops and implements discharge planning for patients in conjunction with hospital based case managers.* Performs telephonic, fax and/or on-site reviews with skilled nursing facilities, home health agencies or other contracted service agencies to determine need for continued care.**Qualifications*** Requires a RN and minimum of 2 years of experience; or any combination of education and experience, which would provide an equivalent background.* Current unrestricted RN license in applicable state(s) required.* Satisfactory completion of a Tuberculosis test is a requirement for this position.**Compensation:**$35.43to$53.15At CareMore Health, we provide effective Advanced Primary Care and Palliative Care by seeing the whole person — body, mind, and spirit. We do it with doctors and nurses who provide personalized and compassionate care, nationally recognized disease prevention and management programs, and healthy-living plans. It helps patients get healthier, while receiving the healthcare experience they’ve always wanted.Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. The Business Units which comprise Mosaic Health are multi-payer and serve nearly one million consumers across 19 states, providing them with access to high quality primary care, integrated care teams, personalized navigation, expanded digital access, and specialized services for higher-need populations. Through Mosaic Health, health plans and employers have an even stronger care provider partner that delivers affordability and superior experiences for their members and employees, including value-based primary care capacity integrated with digital patient engagement and navigation. Each of the companies within Mosaic Health provide unique offerings that together promise to improve individuals' health and wellbeing, while helping care providers deliver higher quality care. For more information, please visit www.mosaichealth.com.Mosaic Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.If you require an accommodation for the application or interview process, please let us know and we will work with you to meet your needs. Please contact recruiting@mosaichealth.com for assistance. #J-18808-Ljbffr
Arizona, USAtime type:
Full timeposted on:
Posted Yesterdayjob requisition id:
M101888**Job Description Summary**Responsible for managing quality, cost effective care using selective benefits and alternative services best suited for the member.**How will you make an impact & Requirements****\*\*This is a remote position and requires the position holder to reside in Arizona\*\*****Primary duties may include, but are not limited to:*** Collaborates in a patient care process to assess, plan, facilitate, coordinate, monitor, and evaluate options and services to meet member's health needs.* Supports member or their representative in regard to care, care transitions, and changes in health status. Implements a comprehensive clinical case management plan for each patient.* Obtains input from providers, patient, and family as appropriate, and evaluates and revises the plan as needed.* Analyzes patient variances from the plan and initiates the appropriate steps to resolve variances.* Performs admission and concurrent stay reviews on hospitalized patients.* Develops and implements discharge planning for patients in conjunction with hospital based case managers.* Performs telephonic, fax and/or on-site reviews with skilled nursing facilities, home health agencies or other contracted service agencies to determine need for continued care.**Qualifications*** Requires a RN and minimum of 2 years of experience; or any combination of education and experience, which would provide an equivalent background.* Current unrestricted RN license in applicable state(s) required.* Satisfactory completion of a Tuberculosis test is a requirement for this position.**Compensation:**$35.43to$53.15At CareMore Health, we provide effective Advanced Primary Care and Palliative Care by seeing the whole person — body, mind, and spirit. We do it with doctors and nurses who provide personalized and compassionate care, nationally recognized disease prevention and management programs, and healthy-living plans. It helps patients get healthier, while receiving the healthcare experience they’ve always wanted.Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. The Business Units which comprise Mosaic Health are multi-payer and serve nearly one million consumers across 19 states, providing them with access to high quality primary care, integrated care teams, personalized navigation, expanded digital access, and specialized services for higher-need populations. Through Mosaic Health, health plans and employers have an even stronger care provider partner that delivers affordability and superior experiences for their members and employees, including value-based primary care capacity integrated with digital patient engagement and navigation. Each of the companies within Mosaic Health provide unique offerings that together promise to improve individuals' health and wellbeing, while helping care providers deliver higher quality care. For more information, please visit www.mosaichealth.com.Mosaic Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.If you require an accommodation for the application or interview process, please let us know and we will work with you to meet your needs. Please contact recruiting@mosaichealth.com for assistance. #J-18808-Ljbffr